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Technologies 2018, 6(2), 44; https://doi.org/10.3390/technologies6020044

Antepartum Fetal Monitoring through a Wearable System and a Mobile Application

1
Department of Electronics, Information and Bioengineering—DEIB, Politecnico di Milano, 20133 Milano, Italy
2
Department of Electrical, Computer and Biomedical Engineering, University of Pavia, 27100 Pavia, Italy
3
Center for Health Technologies (CHT), University of Pavia, 27100 Pavia, Italy
4
Integrative Neuromonitoring and Critical Care Informatics Group, Massachusetts Institute of Technology, Cambridge, MA 02139, USA
*
Author to whom correspondence should be addressed.
Received: 11 February 2018 / Revised: 22 April 2018 / Accepted: 24 April 2018 / Published: 26 April 2018
(This article belongs to the Special Issue Wearable Technologies)
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Abstract

Prenatal monitoring of Fetal Heart Rate (FHR) is crucial for the prevention of fetal pathologies and unfavorable deliveries. However, the most commonly used Cardiotocographic exam can be performed only in hospital-like structures and requires the supervision of expert personnel. For this reason, a wearable system able to continuously monitor FHR would be a noticeable step towards a personalized and remote pregnancy care. Thanks to textile electrodes, miniaturized electronics, and smart devices like smartphones and tablets, we developed a wearable integrated system for everyday fetal monitoring during the last weeks of pregnancy. Pregnant women at home can use it without the need for any external support by clinicians. The transmission of FHR to a specialized medical center allows its remote analysis, exploiting advanced algorithms running on high-performance hardware able to obtain the best classification of the fetal condition. The system has been tested on a limited set of pregnant women whose fetal electrocardiogram recordings were acquired and classified, yielding an overall score for both accuracy and sensitivity over 90%. This novel approach can open a new perspective on the continuous monitoring of fetus development by enhancing the performance of regular examinations, making treatments really personalized, and reducing hospitalization or ambulatory visits. View Full-Text
Keywords: tele-monitoring; wearable devices; fetal heart rate; telemedicine tele-monitoring; wearable devices; fetal heart rate; telemedicine
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Signorini, M.G.; Lanzola, G.; Torti, E.; Fanelli, A.; Magenes, G. Antepartum Fetal Monitoring through a Wearable System and a Mobile Application. Technologies 2018, 6, 44.

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